ASK-A-KAUKA – A conversation about vaccines and COVID-19

ʻAhahui o nā Kauka Supports the Black Lives Matter movement

Announcing PRIDoC 2020

We’re so pleased to announce that the hand-off from ‘Ahahui ‘o nā Kauka to IPAC (Indigenous Physicians Association of Canada) is successful.  The planners at PRIDoC 2020 are now accepting abstracts to shape the program, and registration has opened.

Explore the PRIDoC 2020 website for this information, and more details as they become available.

‘Ahahui ‘o nā Kauka hosts PRIDoC 2018!

‘Ahahui ‘o nā Kauka is pleased to be hosting the Pacific Region Indigenous Doctors Congress this July in Hilo on the Island of Hawai‘i.

PRIDoC is an indigenous space for indigenous physicians and students, researchers and health professionals from across the Pacific to gather around shared issues of well-being among the many indigenous communities throughout and around the Pacific.

The theme, ‘Oi Ola Wai Honua, was given to us by Aunty Pua Kanahele.   This translates as “life is better while the earth has water” and reminds us of the importance of caring for our resources, as well as those of us who also function as resources to our people.   We hope that this theme will inspire the exchange of ideas and collective knowledge that will enable our communities and us to thrive physically, emotionally, spiritually, socially and culturally.

For more information and to register for the gathering, please go to www.pridoc2018.org.

Huli Au a Mauliola – Kauka hui’s own oli

Huli Au a Mauliola

Next practice:

• FRIDAY, March 11, 2016
• 5:30 – 8:00 PM
• JABSOM, MEB #304

Meanwhile listen to the audio here.

 

Ho‘olewa for Dr. Kekuni Blaisdell on Saturday, March 12th

March 12, 2016, Saturday

John A. Burns School of Medicine

651 Ilalo Street, Kaka‘ako, O‘ahu

 

9:00 AM     Ho‘okipa – Visitation

11:00 AM    Services

12:30 PM    Nā Hali‘a Aloha – Remembrances

Parking is available in three nearby lots.  Download map.

Enter a caption

 

Online tributes may be shared here.  Donations may be made to the Dr. Kekuni Blaisdell Proposed Endowed Chair in Native Hawaiian Health at the John A. Burns School of Medicine (account #127-2010-2). Checks may be made payable to UH Foundation or click here to donate online.

Aloha ‘Āina Mural exhibit at JABSOM

Tribute to Kupuna Kauka Richard Kekuni Akana Blaisdell

We have lost a great healer, teacher, professor, mentor and friend with the passing of Dr. Richard Kekuni Akana Blaisdell . 

We honor his contributions to raising the awareness of health among Kānaka Maoli. He returned to Hawai‘i in the 1960s to help develop the medical school at the University of Hawai‘i. He was a leader in gathering Native Hawaiian health data for the Commission on the Status of Native Hawaiians and then E Ola Mau, which then led to the passage of the Native Hawaiian Health Care Improvement Act in 1988 and the establishment of the five Native Hawaiian Health Care Systems, the Native Hawaiian Health Scholarship Program and Papa Ola Lōkahi. He was also instrumental in establishing Nā Pu‘uwai and Ke Ola Mamo, developing the first Hawaiian diet program on Molokai, founding ‘Ahahui o nā Kauka, establishing the Department of Native Hawaiian Health at the UH medical school, the Native Hawaiian IRB, and so much more. He mentored hundreds of physicians who have graduated from UH since 1975, as well as others in public health, epidemiology and other related fields. Along the way, he connected health disparities to the root causes of other social and economic disparities, and has been a clear and committed leader in the movement for parity, justice and Hawaiian independence.

Here is a tribute to Kekuni delivered May 15, 2015 at the Kihei Ceremony by Dr. Martina Leialoha Kamaka, President of ‘Ahahui o nā Kauka.

 

Aloha mai kākou…mahalo Ke Akua, nā aumakua, nā kupuna here tonight, both seen and unseen.  Aloha to you the new kanaka maoli graduates of the John A. Burns School of Medicine, and to the family, friends and teachers who support you.

As the current president of the ‘Ahahui o nā Kauka, the Association of Native Hawaiian Physicians, I am honored to share a bit with you about Dr. Richard Kekuni Blaisdell and why he is important to us as Native Hawaiian doctors and to the legacies that we will leave behind.

Kekuni is surrounded by 4 kanaka graduates of the first class of 1975 on his 89th birthday: Drs. Bill Ahuna, Nathan Wong, Richard Lee-Ching and Noa Emmett Aluli. 2014.

You have just heard the oli and experienced a glimpse of the love, gratitude and admiration that we, your faculty, mentors and future colleagues have for this man. It is important that you understand why. I suspect most of you have never met him but you have heard his name mentioned in the halls of JABSOM, the hospitals or by Native Hawaiian physicians you know. Although you may not have directly benefited from his teaching or experienced his passion for medicine or the issues that affect our people, you are ALL indirect beneficiaries of his vision, his teachings and his passions. You are all here partly as a result of his efforts. In fact, most of you were trained at one point or another by someone that Kekuni himself trained. Also, you will all work in our communities enlightened by the path that he has laid before you.

Kekuni Blaisdell is first and foremost, a proud Native Hawaiian man. He is a father, a grandfather, a scholar and an activist who became the first Professor and Chair of the Department of Medicine at the University of Hawaiʻi School of Medicine. But most importantly, he is a man who cares deeply for our people.

In 1985, he co-drafted the E Ola Mau Native Hawaiian Health Report, along with a few others, which documented for the first time, on a national level, the sorry state of Native Hawaiian health attributable to, if I may borrow from a previous president, the grim social, economic and landless political plight of our people. This report was done in preparation for the 1988 Native Hawaiian Health Care Improvement Act approved by the US congress which authorized the establishment of Papa Ola Lōkahi, the five Native Hawaiian Health Care Systems and recognized traditional Native Hawaiian healers. As an outgrowth of that work, he was instrumental in the founding of the ʻAhahui o nā Kauka.

I would like to show you our logo as it symbolizes what Kekuni means to us as kanaka maoli kauka and what our kuleana is. The water pouring out of the ʿumeke symbolizes not only healing but the sharing of knowledge. The hands receiving the water symbolizes our patients, our communities and of course, ourselves. Note the hands holding the ʿumeke. Those hands are Kekuni’s hands. He was the model not only for our logo, but for an example, a model, of how to live our lives as physicians. He was a master of science, a teacher, a healer and an activist who passionately believed that the path to health for our people lay in regaining our sovereignty and connection to this sacred ʿāina.

I would like to end by sharing my personal stories with Kekuni. I remember hearing about Kekuni in the first days of medical school. I was terrified of him. He had a reputation for being a brilliant Native Hawaiian hematologist who was strict and expected nothing short of excellence. I was scared to take his class and I’ve joked with him about this over the years.

Happily I can report that yes, he expected excellence but he also had an incredible passion for medicine and aloha for his students. Who can forget the Five Rules of Chairman Blaisdell? These rules are pertinent not only for students, but also for all physicians as we continue our work and path of life-long learning:

1. The Patient comes first
2. Bring Science to the bedside
3. Doctor means teacher
4. Hawaii, Ka Paeʻāina, is a very special place
5. Have fun (with what you’re doing)

I’ve also learned that he has a fun and rascal side. No one who attended the Pacific Region Indigenous Doctors Congress in 2008 will ever forget his T-shirt key note presentation!

 

 

 

 

 

My Dad, who is 90 years old, loves telling me stories about how he and Kekuni (along with another Hawaiian soldier), when on R&R during the Korean War, walked down the middle of the main street in the Giza, loudly singing Hawaiian songs and no one dared to stop them!

Kekuni with Dr. Martina Kamaka at 2015 Kihei Ceremony.

I’ve been blessed over the years to call Kekuni my teacher, my mentor and yes, my friend. I hope you all take the opportunity today to introduce yourselves and thank Kekuni for the legacy that he has left for you and for our people. He has made your work harder, and in some ways easier, by pointing out our kuleana to our people, but also showing that we can call on our kupuna, our communities, our culture and each other for help and support. Remember to follow his rules for life as a kauka, honor your patient, this place and it’s cultures, continue your learning, teach, have fun in your work and I’ll add a new one here, if you know you are on the right path, walk it, even if it’s in the middle of the street, let your voice be heard and don’t let anyone stop you!

On a final note, no one in my generation will forget the ways that Kekuni ends meetings, cameras and song and a charge. So, I have several requests….first, please stay to take a picture with Kekuni at the of this event and two, that you all join me in singing the last three line of the chorus from the mele, All Hawaii Stand Together.

Finally I will end with the charge that he has given many of us who have been taught, mentored, worked with, or just been associated with Kekuni, “Ho‘ōla lāhui! Build the nation!”

‘Onipa‘a kākou, ‘onipa‘a kākou

A lanakila, na kini ē

E ola, e ola, e ola na kini ē

May Nālani and Mitch Kamakani and their families find comfort in knowing his legacy will live on.

 

Kekuni and Emmett Aluli. 2003

Father and daughter Drs. Nalani Blaisdell-Brennan and Kekuni Blaisdell. 2005, Ihilani Resort.

Kekuni shares a laugh with John Keola Lake, 2005

Kekuni is surrounded by 4 kanaka graduates of the fist class of 1975: Drs. Bill Ahuna, Nate Wong, Richard Lee-Ching and Noa Emmett Aluli. 2013

Serenaded by Dr. Rick Akau and Dr. Mel Chang. 2013.

Kauka in the hale halawai at Hakioawa, Kaho’olawe. 2000.

Kekuni was the keynote speaker at PRIDoC (Pacific Region Indigenous Doctors Congress) in Australia in 2004.

Kauka executive board and staff meet at Kekuni’s hale: daughter Dr. Nalani Blaisdell-Brennan, Kim Kuulei Birnie, Dr. Dee-Ann Carpenter, Dr. Miriam Chang. 2014

Kekuni’s keynote speech at PRIDoC was his famous “T-shirt slideshow.”

At Kalaupapa Airport: Kekuni, Dr. Tom Au, Dr. Bill Ahuna, Roy Inouye, Dr. Marjorie Mau, Karen Young, Dr. Fred Dodge. August 2004.

Drs. Chiyome L. Fukino and Kekuni Blaisdell 2005

Dr. Dee-Ann Carpenter, Dr. Kalani Brady, student Po’okela Hanson, Dr. Marjorie Mau & Dr. Kekuni Blaisdell. McVeigh Hall, Kalaupapa. 2004

Kekuni, Dr. Ted Mala and friends. Anchorage, AK, March 2002.

Jason, Diane and baby Paloma, with Kekuni, kumu hula Snowbird Bento, Dr. Nate Wong, Dr. Ben Young, 2005

Dr. Kekuni Blaisdell, Dr. Dee-Ann Carpenter, Kumu John Keola Lake, Dr. Kalani Brady, Dr. Lehua Concepcion, Keahi Renaud, Dr. Fred Dodge. Kawaihae, Jan 2004

Kekuni with Dr. Dileep Bal. Kaua’i, 2005.

Kekuni, Kumu Keola Lake NPS ranger – Pu‘ukoholā, January 2004.

Kauka can educate and advocate around Hawaiian health data

“Educate and advocate”

This plea was offered to the attendees at the annual meeting last week around the collection, analysis and dissemination of health data for Native Hawaiians by JoAnn Tsark and Hardy Spoehr.

• Who We Are, The Struggle Continues, presentation to Ahahui o na Kauka, 2/6/2016
• Disaggregation of API and the AAPI Identifier, H. Spoehr, 2008
• Public Law 111-148
• Combined cancer statistics mask the truth for Native Hawaiians, POL news release, 1/28/2016

The topic arose as a result of the release of American Cancer Society’s Cancer Facts & Figures 2016, which includes a Special Section:  Cancer in Asian Americans, Native Hawaiians, and Pacific Islanders.  The special section combines Asian American data with that of Native Hawaiians and Pacific Islanders, drawing inaccurate conclusions, such as declaring that cancer is the #1 cause of death, when for Native Hawaiians the leading killer is heart disease.

The presenters, veterans of the Hawaiian health movement, presented to  make the membership aware, and recommended kauka could educate and advocate on committees, councils and wherever members have influence.

Practice Transformation Network for Hawai’i’s rural clinicians

February 8, 2016

Dear colleagues,

This is a time for tremendous change for physicians and health care providers.  We are particularly concerned about our primary care and rural medicine colleagues.  The boards of ‘Ahahui o nā Kauka and the National Council for Asian and Pacific Islander Physicians (NCAPIP) would like you to be aware of some important free resources that are available from CMS (Centers for Medicare and Medicaid Services) to aid with the transitions being required of your practices over the next couple of years in converting to a value-based payment system by 2019.

As an overview, CMS awarded more than $685 million to 20 national and regional collaborative health care practice transformation networks (PTNs) and 10 Support and Alignment Networks (SANs) to provide technical assistance to help train and prepare 140,000 clinicians with innovative tools and support.  At this point in time, the training and support are free!

However, you need to register before the end of February.

The PTN that is largely charged with covering Hawai‘i is the National Rural Accountable Care Consortium (Feb 2016 presentation).  The contact person is Shannon Calhoun, scalhoun@nationalruralaco.com, NRACC PTN Regional Vice President for Hawaii, Southwest Region.

• Presentation to Kauka Hui board, 2/6/2016
• National Rural TCPI Fact Sheet
• Flyer

Please review the resources above.  Time is of the essence as they are signing up practitioners and practices at this time.  We want to make sure that everyone gets the support they need during this critical transition time.

Also, please note that the two boards have been working with a SAN, HealthCare Dynamics International, which has assisted in making contacts with the PTN assigned to Hawai‘i.  The SAN has partnered with NCAPIP, National Medical Association and the National Hispanic Medical Association to assure their respective members, many in small urban or rural practices, don’t miss out on this opportunity.  Its staff is also available for support and to help answer questions.  Please contact Ms. Jan Kelley at HealthCare Dynamics.

Aloha,

     Martina L. Kamaka, MD, President, ‘Ahahui o nā Kauka; Director, NCAPIP

     Dee-Ann L. Carpenter, MD, Secretary, ‘Ahahui o nā Kauka; Member, Hawaii IPA

[PDF letter]